Allergic rhinitis (AR) is an increasingly prevalent inflammatory condition of nasal mucosa caused by inhaled allergens and characterized by symptoms such as sneezing, rhinorrhoea, nasal obstruction, and pruritus. 1,2 Allergic rhinitis is primarily triggered by aeroallergens such as pollens, house dust mites, animal dander, or moulds. However, several other environmental or occupational hazards such as air pollution, smoke, and exposure to low-molecular-weight substances can also elicit AR response. 3,4 Allergic rhinitis affects approximately 2%-25% of children and 10%-40% of adults globally. 5,6 The prevalence of AR may be increasing globally, and AR is prevalent in high-income countries ranging between 12% and 30% in Europe and North America. Evidence suggests that apart from the common allergens such as pollens, house dust, or animal dander, exposure to tobacco smoke, 7 antibiotics, 8,9 and chemicals 10 during pregnancy are also associated with the risk of AR to offspring. In developing countries, particularly in South-East Asia, the prevalence of AR is also high, for example, the prevalence of AR is between 11 and 18% in China and between 6% and 22% in India where environmental factors such as outdoor and indoor air pollution are the predominant risk factors. 11-17 However, the exact prevalence of AR often varies significantly among studies, even in studies performed in the same geographical locations. This could probably be due to (i) the survey-based nature of the studies where "ever rhinitis" is inaccurately considered as "allergic rhinitis" and the coexistence of allergic and non-allergic rhinitis are not stratified, (ii) self-reported symptoms and children often cannot recognize